they look at the various models , bundledbe they an aco payments, in some places a fee animal.ice there will have to be different models. they are going to be balanced with how well physicians work to improve the care they provide to their patients. one of these can be used depending on whether or not they can be needed. there is a large integrated system that may not work necessarily. it has to have a model that meet their needs but at the same time can do the improves outcomes and cost reduction that we all want in this country. >> i want to follow up on mary agnes get into the politics of moving forward. ,his tends to be a one-year fix a very difficult thing to find to shore up this whole. you feltdering whether with the reduced price tags it would be an easier list or if you are still expecting it to be a challenge to do a permanent fix? >> i think it will be an easier list. we have seen demonstrated bipartisan support in repealing it and replacing it with other models and transitioning to those models. muchll cost the country more money than if we go ahead now, repeal it, and get a